Revista do Colegio Brasileiro de Cirurgioes最新文献

{"title":"Associations between sleeve gastrectomy, cholecystectomy, and gastroesophageal reflux disease in obese patients: an integrative review.","authors":"Gabriel Guerra Cordeiro, Vinícius Vasconcelos DO Amaral, Luiz Alberto Reis Mattos Júnior, Matheus Calixto Lemos, Flávio Kreimer, José Guido Correia DE Araújo Júnior, Álvaro A B Ferraz","doi":"10.1590/0100-6991e-20253793-en","DOIUrl":"10.1590/0100-6991e-20253793-en","url":null,"abstract":"<p><strong>Introduction: </strong>Adaptations of the gastrointestinal tract after sleeve gastrectomy have been associated with an increased incidence of gastroesophageal reflux disease (GERD) and cholelithiasis. Associations between GERD and increased enterohepatic biliary circulation post-cholecystectomy have been demonstrated. The objective of this study was to analyze the possible associations between cholecystectomy, sleeve gastrectomy and gastroesophageal reflux disease in obese patients.</p><p><strong>Methods: </strong>This is an integrative review of the literature, selecting full publications, published in Portuguese, English and Spanish, between 2010 and 2023, in the databases: Web of Science, MEDLINE, LILACS, EMBASE and IBECS. The initial sample consisted of 783 studies, of which nine were selected for analysis.</p><p><strong>Results: </strong>The synthesis of the selected articles showed that in the post-sleeve gastrectomy follow-up, 32.9% of patients developed cholelithiasis, considering 17.1% in the symptomatic form, with 15.4% of the sample undergoing cholecystectomy. The development of GERD after cholecystectomy was evident in 53.6% of patients.</p><p><strong>Conclusion: </strong>Evidence from current literature suggests a relationship between GERD and patients undergoing sleeve gastrectomy and cholecystectomy procedures. The causal mechanism appears multifactorial, especially linked to anatomical, metabolic and physiological changes resulting from surgical interventions. Therefore, more studies are needed to better elucidate the outcomes and effects on the gastrointestinal dynamics that permeate this condition.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253793"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vital signs following autotransfusion in liposuction and concurrent aesthetic procedures.","authors":"Juliana Almeida Oliveira, Pollyana Magalhães Gontijo, Julie Stephanny DE Souza Gurgel Paranhos, Leandro Costa Gontijo","doi":"10.1590/0100-6991e-20253788-en","DOIUrl":"10.1590/0100-6991e-20253788-en","url":null,"abstract":"<p><strong>Introduction: </strong>Liposuction might lead to complications such as bleeding and anemia, and the volume of blood lost cannot be predicted. Autotransfusion has hemodynamic benefits and may be associated with better patient recovery.</p><p><strong>Objective: </strong>To evaluate whether Autolog IQTM impacts the vital signs of patients undergoing liposuction.</p><p><strong>Methods: </strong>A retrospective case-control study with patients undergoing liposuction from July to November 2023. Observers were blinded to data collection and analysis, and 98 patients were included and classified into an intervention group (autotransfusion during the procedure) or control group.</p><p><strong>Results: </strong>49 patients used Autolog, and 49 patients made up the control group, selected conveniently. 94 patients (96%) were women, with a mean age of 39±9.17 years and a mean weight of 26.5±3.55kg. Heart rate (HR) response in the postoperative period (MD -12, 95% CI: -19.42 to -4.58, p=0.002) and during anesthesia recovery (MD -8, 95% CI: -13.56 to -2.44, p=0.005) compared to the perioperative period favored the Autolog group. Mean arterial pressure during anesthesia recovery compared to the perioperative period (MD -25, 95% CI: -30.5 to -19.95, p<0.001); the MEWS score at hospital discharge (MD 1, 95% CI: 0.56 to 1.44, p<0.001); and HR at hospital discharge compared to postoperative (MD 10.5, 95% CI: 2.5 to 18.5, p=0.01) and anesthesia recovery (MD 8, 95% CI: 1.45 to 14.55, p=0.02) favored the control group.</p><p><strong>Conclusions: </strong>Autotransfusion showed potential benefits in immediate postoperative heart rate response and anesthesia recovery. Broader studies are needed in this population.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253788"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the interval between diagnosis and definitive treatment of lung cancer at a public institution in São Paulo.","authors":"Otavio Rocha Fiuza, Barbara Siqueira Souto Maior, Luísa Beisman DE Moraes, Daniel Augusto Xavier Carvalho, João Aléssio Juliano Perfeito, Ernesto Evangelista Neto, André Miotto","doi":"10.1590/0100-6991e-20253836-en","DOIUrl":"10.1590/0100-6991e-20253836-en","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the interval between the diagnosis and definitive surgical treatment of lung cancer patients at a public institution in São Paulo.</p><p><strong>Method: </strong>A retrospective observational study was conducted, using medical records to collect data on the periods between the first abnormal chest computed tomography (CT) scan, the initial consultation with the specialist, and the subsequent tumor resection.</p><p><strong>Results: </strong>The analysis of 20 patients revealed a substantial average waiting period of 425.6 days between diagnosis and definitive treatment. During this interval, an average of 282 days elapsed between diagnosis and the initial specialist consultation, while the period between the first consultation and treatment averaged 143 days. By comparing the initial and final staging, 70% of the patients progressed to a higher stage over this period.</p><p><strong>Conclusions: </strong>The identified interval is concerning and exposes patients to elevated risks during this waiting period. This prolonged duration poses potential threats to patient health, resulting in decreased quality of life, increased risk of disease progression, reduced chances of cure, and diminished overall survival prospects. Addressing and minimizing this extended interval is crucial for improving patient outcomes and enhancing the effectiveness of lung cancer treatment.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253836"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative cost analysis study of pulmonary robotic and video-assisted lobectomy: results of a randomized controlled trial (BRAVO Study).","authors":"Ricardo Mingarini Terra, Juliana Rocha Mol Trindade, Pedro Henrique Xavier Nabuco DE Araujo, Leticia Leone Lauricella, Evelise Pelegrinelli Zaidan, Paulo Manuel Pêgo Fernandesa","doi":"10.1590/0100-6991e-20253553-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20253553-en","url":null,"abstract":"<p><strong>Introduction: </strong>Robotic thoracic surgery has potential benefits, but the cost is still considered a limiting factor for its wide dissemination in most countries.</p><p><strong>Methods: </strong>We compared the costs of robotic-assisted (RATS) and video-assisted thoracic surgery (VATS) in the treatment of lung cancer or pulmonary metastasis. Cost analysis was based on micro-costing and individual cost analysis during surgical admission and frequency of services (emergency service, clinic visits, imaging exams, chemotherapy and radiotherapy, reoperation or additional procedures, rehospitalization, and ICU stay) during postoperative 90-day follow-up.</p><p><strong>Results: </strong>A total of 76 patients were included in this cost analysis (RATS=37, VATS=39). Groups were equivalent in terms of age, gender, comorbidities, and pre-operative status. Total costs of pulmonary lobectomy did not differ between the RATS and VATS groups when considering cost of surgical hospitalization and follow-up of up to 90 days. Mean individual cost per patient in the RATS group was R$35,590.41 (±12,514.97) and R$41,066.98 (±25,891.04) in the VATS group, p=0.564.</p><p><strong>Conclusion: </strong>Robotic and video-assisted thoracic surgery had similar costs, but longer follow-up studies could be important to demonstrate RATS and VATS costs differences.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253553"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and surgical profiles of patients submitted to plastic surgery procedures after bariatric surgery in a public hospital in Brazil's Midwest.","authors":"Jefferson Lessa Soares DE Macedo, Simone Corrêa Rosa, Luis Felipe Rosa DE Macedo, Cecília Rosa DE Macedo, Mariana Fiuza Gonçalves, Brenner Dolis Marretto DE Moura","doi":"10.1590/0100-6991e-20253812-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20253812-en","url":null,"abstract":"<p><strong>Introduction: </strong>Patients who undergo to gastroplasty present massive weight loss and the plastic surgery represents an important play in the treatment. The aim of this study is to present the profile of patients who underwent plastic surgery after bariatric surgery performed at the Reference Public Hospital in West-Center of Brazil.</p><p><strong>Methods: </strong>A descriptive, analytical and retrospective study was performed in a single public hospital on patients who underwent post-bariatric plastic surgery from January 2011 to December 2023. Three hundred and sixteen patients who underwent plastic surgery following Roux-Y gastroplasty were studied. Measures included BMI (body mass index) before gastroplasty and before plastic surgery, medical complications and comorbidities.</p><p><strong>Results: </strong>316 patients (297 female, 19 male) with a mean age of 43 years underwent 268 separated operations. The average BMI at the time of plastic surgery was 27,39kg/m2 . Average weight loss was 47,44kg and mean pre-weight loss BMI (max BMI) was 45,5kg/m2 .The most important preplastic comorbities were: arterial hypertension (12,7%), degenerative artrophaty (7,0%), diabete melito (5,7%) and methabolic syndrom (4,4%). From 316 patients operated, 75,7% were underwent abdominoplasty followed by mammaplasy (41,4%), ritidoplasty (12,0%), and brachioplasty (12,0%). Thirty-nine (12,3%) patients had hernia repair in combination with abdominoplasty. The complication rate was 31,3%.</p><p><strong>Conclusion: </strong>Epidemiological profile of postbariatric patients who underwent body contour surgery showed peculiar clinical, anthropometric and surgical aspects, specially the low prevelence of comorbidities, the low number of associated surgeries and rate of postoperative complications in the group studied.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253812"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144967142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abbreviation of preoperative fasting and malnutrition: impact on cost-effectiveness of surgical patients.","authors":"Wesley Santana Correa Arruda, Diana Borges Dock-Nascimento, José Eduardo DE Aguilar-Nascimento","doi":"10.1590/0100-6991e-20253776-en","DOIUrl":"10.1590/0100-6991e-20253776-en","url":null,"abstract":"<p><strong>Introduction: </strong>Abbreviating preoperative fasting improves clinical outcomes, such as reducing hospital stay, morbidity and postoperative mortality. However, there is a lack of data regarding the reduction of hospital costs. Therefore, the objective of the research was to analyze whether reducing preoperative fasting time with the provision of carbohydrate-rich liquid has an influence on hospital costs for surgical patients.</p><p><strong>Methods: </strong>Retrospective data were collected from patients undergoing surgical procedures at a University Hospital in 2019. The main outcome variable investigated was cost hospital in reais. Data such as gender, age, type of surgery, length of stay, nutritional data, and outcomes were also collected. Next, a comparative analysis of the variables was carried out in relation to patients who followed the preoperative fasting abbreviation protocol, with liquid rich in carbohydrates, and those whose protocol was not applied.</p><p><strong>Results: </strong>The mean (± standard deviation) fasting time of the study participants was 267.92±89.8 (range: 120-605) minutes in the group that shortened the fast and 768.6±247.8 (150 -1244) minutes in the group that did not perform the abbreviation (p<0.01). In relation to hospital costs, it was observed that patients who shortened their fasting had a lower average cost than those who did not shorten it (R$ 3,245.37±4,157.5 vs R$ 10,897.39±16,701.3; p< 0.01). They were shown to be significantly associated with higher cost, malnutrition and prolonged preoperative fasting.</p><p><strong>Conclusions: </strong>According to data from this study, shortening preoperative fasting reduces hospital costs. Corroborating prolonged fasting, malnutrition also makes hospitalization more expensive.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253776"},"PeriodicalIF":0.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12401114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electronic preoperative fasting abbreviation protocol: creation, application, and training of the patient care team.","authors":"Rodrigo Costa Gonçalves, José Eduardo de Aguilar Nascimento, Marilia Arantes Rezio, Eula Cristina Machado Ferraz, Rachel de Carvalho","doi":"10.1590/0100-6991e-20253755-en","DOIUrl":"https://doi.org/10.1590/0100-6991e-20253755-en","url":null,"abstract":"<p><strong>Introduction: </strong>The preoperative fasting time does not, in practice, meet current recommendations for preoperative care. The implementation of clinical protocols for shortening preoperative fasting has faced numerous barriers. The present study aims to evaluate whether the creation, application and professional training to use a fasting abbreviation protocol, linked to the electronic medical record, is capable of managing and reducing preoperative fasting time.</p><p><strong>Methods: </strong>The study was conducted in two public hospitals in Goiânia, Goiás, Brazil. The DMAIC project methodology (Problem Definition - Measurement - Analysis - Implementation and Control) was used. Initially, the preoperative fasting time was measured in both institutions and the possible root causes for its prolongation were analyzed. Based on this assessment, a fasting abbreviation protocol was developed, managed through the electronic medical record, and the preoperative fasting time was again measured. In parallel, training was carried out for the multidisciplinary team to apply the protocol.</p><p><strong>Results: </strong>Preoperative fasting time was high and superior to current recommendations in both hospitals. The causes for this prolongation were identified and treated. There was a reduction in preoperative fasting time in both institutions (11.50 vs 8.17 hours, p:0.000) and (8.77 vs 8.07 hours, p:0.025).</p><p><strong>Conclusion: </strong>The construction of a protocol, considering the needs of each institution, its management through electronic health records and the use of multiple methodologies for training patient care teams make it possible to reduce the duration of preoperative fasting.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253755"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gastric cancer treatment in Brazil: a multicenter study of the Brazilian Gastric Cancer Association.","authors":"Marcus Fernando Kodama Pertille Ramos, Marina Alessandra Pereira, Thiago Francischetto Ribeiro, Oddone Braghiroli Neto, Felipe José Fernandez Coimbra, Marco Antônio Gonçalves Rodrigues, Flavio Duarte Sabino, Ulysses Ribeiro Junior, Ronaldo Mafia Cuenca, Felipe Carvalho Victer, Flávio Daniel Saavedra Tomasich, Geraldo Ishak, Antonio Nocchi Kalil, Álvaro Antônio Bandeira Ferraz, Luis Fernando Moreira, Claudemiro Quireze Junior, Nelson Adami Andreollo, Osvaldo Antônio Prado Castro, Fernando Antônio Siqueira Pinheiro, Antônio Carlos Weston","doi":"10.1590/0100-6991e-20253815_en","DOIUrl":"10.1590/0100-6991e-20253815_en","url":null,"abstract":"<p><strong>Introduction: </strong>Gastric cancer (GC) has distinct characteristics and management according to the region of the world, and the objective of our study was to evaluate how it is being managed in Brazil.</p><p><strong>Methods: </strong>This is a multicenter study that involved 18 oncology referral centers. Data were collected using the REDCap platform and compiled at the end of one year.</p><p><strong>Results: </strong>All Brazilian regions were represented, and 635 patients were included. Most patients were from the Southeast (40.6%) and Northeast (29.6%) regions. The mean age was 62 years, with a predominance of males. Most patients (84.6%) had good performance status, with an ECOG score of 1-2. Less than 10% of patients were covered by medical insurance. A quarter of the patients underwent diagnostic laparoscopy, but endoscopic ultrasound and PET scans were rarely performed. The cT3 category was the most common (40.6%), lymph node involvement was described in 48.9%, and distant metastases, in 14.4% of the staging exams. The final cTNM staging was III (29.4%), II (26%), I (24.2%) and IV (20.5%). Most patients underwent surgery with curative intent (74.4%) and open access (82.8%). Preoperative chemotherapy was performed in 37.2% of cases, and the most common surgical procedures were subtotal gastrectomy (45.3%) and total gastrectomy (33.1%).</p><p><strong>Conclusion: </strong>The present study allowed us to evaluate the current panorama of surgical treatment of Gastric Cancer, representing all regions of Brazil. Stage III, distal, and diffuse tumors continue to be prevalent in Brazil, and there has been relevant use of diagnostic laparoscopy, preoperative chemotherapy, and minimally invasive surgery.</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253815"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1590/0100-6991e-20253787errata-en","DOIUrl":"10.1590/0100-6991e-20253787errata-en","url":null,"abstract":"<p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243787-en].</p><p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243787].</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20253787er"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum.","authors":"","doi":"10.1590/0100-6991e-20243753errata-en","DOIUrl":"10.1590/0100-6991e-20243753errata-en","url":null,"abstract":"<p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243753-en].</p><p><strong>Background: </strong>[This corrects the article doi: 10.1590/0100-6991e-20243753].</p>","PeriodicalId":21454,"journal":{"name":"Revista do Colegio Brasileiro de Cirurgioes","volume":"52 ","pages":"e20243753er"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}